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Organization
JOHNS HOPKINS SURGERY CENTERS SERIES
Active
Organization
JOHNS HOPKINS SURGERY CENTERS SERIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA ISHII (SENIOR VICE PRESIDENT)
(105) 837-1854
Entity
Organization
Contact information
Practice address
4924 CAMPBELL BLVD, SUITE 250, NOTTINGHAM, MD 21236-5908
(410) 321-1124
(410) 321-5509
Mailing address
10803 FALLS ROAD, PAVILLION 3, SUITE 2500 C/O LISA ISHII, LUTHERVILLE, MD 20193-4573
(410) 583-7185
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
=========
EIN
MD
Enumeration date
04/03/2007
Last updated
03/09/2020
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